Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,630.78 / $7,413.10	Facility		$213.80	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $398.11	Professional		$109.65	$208.93	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $389.05	Professional		$117.49	$186.21	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,238.72 / $4,786.30	Facility		$691.83	$2,238.72	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $407.38	Professional		$144.54	$234.42	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $380.19 / $549.54	Facility		$162.18	$380.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $426.58	Professional		$120.23	$213.80	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $416.87	Professional		$128.82	$239.88	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $457.09	Professional		$162.18	$302.00	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $346.74	Professional		$109.65	$190.55	$346.74